Search › Idaho › 207Q00000X
Michael Long, DO
NPI 1063114742 · on the registry since 2023
Practice
- Address
- 2265 Desoto St
Idaho Falls, ID 83404 - Phone
- (208) 569-7139
- Organisation at this address
- Long Medical Pllc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 207Q00000X
207Q00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho